REDESIGNING CARE DELIVERY: IMPROVING THE PATIENT EXPERIENCE AND SYSTEM EFFICIENCY
Shifting care from hospitals to homes and the community is an important change that could help to solve some of the challenges faced by European governments when it comes to gains in efficiency. It will also allow for higher quality of care and better outcomes for patients. Why so?
When coupled with clear and systematic incentives aligned with a focus on prevention, bringing care closer to the community and home should result in improved cost-effectiveness, reduced incidence of infections and a reduction in unnecessary and expensive interventions. The evolution of m-Health and e-Health will support this shift, and help to personalise and customise care to the individual. Developing better communication tools between physicians and patients, using e-solutions for managing patient records—and giving patients access to their records—and e-Health initiatives such as virtual prescriptions all contribute to improve coordination between patients and healthcare providers so care can be brought into the home.
Philips and the Liverpool Clinical Commissioning Group (CCG) in the United Kingdom partnered to do just this through the “Delivering Assisted Lifestyles Living At Scale” (DALLAS) programme. In conjunction with the NHS and the Liverpool CCG, Philips deployed its Motiva technology, which consists of a tablet or TV-set top-box wirelessly connected to scales, blood pressure cuffs and pulse oximeter. Patients recruited to the programme used these tools and received videos and questionnaires used to check aspects of their condition. The results? Better care for over 700 chronic care patients.
Driven by government and public health authorities, the initiative illustrates the importance of endorsement from stakeholders and the way in which implementation of Information and Communication Technologies (ICT) has the potential to revolutionise in-home healthcare.
By shifting more care to the home, hospitals are freed to rethink their operations, from improving efficiencies in purchasing to reorganising staff duties so that doctors and nurses spend more time caring for patients.
OECD: “Public Spending on Care: A New Set of Projections”, Economic Policy Papers Number 06, June 2013
European Commission, “Investing in Health”, Feb. 2013, p. 17
Spotlight on Prevention: When, Who and How?
Unhealthy lifestyles and lack of physical activity are key factors in the development of chronic diseases. Early prevention and diagnosis, better education, and above all collaboration among governments, patient organizations, and industry are crucial to prevent chronic diseases from arising.